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All Alone - Nobody wears a white coat any more...
...a tribute to becoming a doctor.
All Alone
11 whispers echo . o O ( ... ) O o . whisper a word
pwwka From: pwwka Date: October 15th, 2008 06:02 pm (UTC) (etched in stone)
What do you do when you have a violently negative internal reaction to the wishes of a loved one for a patient?
ayradyss From: ayradyss Date: October 16th, 2008 01:57 am (UTC) (etched in stone)
That's a hard one, mostly at times when I perceive the patient's family as being unreasonable regarding "no codes". I'm growing out of the visceral responses, though - I don't know that I've ever had a "violently negative" response. I've seen all ends of the spectrum by now...

I've become quite good at the "nod and leave" approach, where I curtail any response until I get away from the family, and then try to figure out -why- I've had such an emotional reaction.

We respect the wishes of the patient or their nearest surrogate. You go back and try to figure out what's going on, why we disagree. And sometimes you just fume for days.
11 whispers echo . o O ( ... ) O o . whisper a word